Texas has grown fast—over 30 million people now live here as of 2025—and with that, the need for caregivers has shot up too. More seniors are choosing to age at home, which means there’s a big demand for trained folks like Certified Nurse Aides (CNAs) and Home Health Aides (HHAs). If you’ve been thinking about stepping into this field, now’s a great time. In this guide, we’ll break down the different types of caregiver schools in Texas, what the job market looks like, how licensing works, and what steps you can take to get started.
Understanding School Types: Public & Private vs Vocational

1. Public & Private Colleges
- Typically community colleges or universities offering credit-based CNA/HHA programs.
- Curriculum combines classroom theory, lab practice, and clinical experiences.
- Tend to cost less, often qualify for aid, and may offer associate degrees.
2. Vocational & Career Schools
- Focus on job readiness with fast-paced, skill-specific training.
- Programs run shorter (weeks instead of months), often mixed modality (online + in-person).
- Aimed for direct entry into the workforce with efficient state exam prep, though cost per hour may be higher.
Public & Private Colleges with CNA/HHA Programs

Public and private colleges in Texas are a great choice for individuals seeking a structured, accredited path to becoming a caregiver. These institutions often offer CNA and HHA programs through their health sciences or continuing education departments. Students benefit from experienced instructors, on-campus labs, and clinical partnerships with local healthcare facilities. Many programs are eligible for federal or state financial aid, making them more accessible and affordable compared to private training centers. In addition to gaining core caregiving skills, students may also receive support with resume building, interview preparation, and job placement services.
For those considering a long-term career in healthcare, these colleges often provide stackable credentials—allowing students to transition smoothly into licensed vocational nurse (LVN) or registered nurse (RN) programs later on. Whether you’re just starting out or looking to build a foundation for future advancement, public and private colleges offer flexible, reputable training that aligns with Texas licensing requirements.
Vocational & Career Schools with Caregiver Training
Public and private colleges in Texas are a solid option if you’re looking for a more structured path into caregiving. A lot of community colleges and universities offer CNA or HHA programs through their health or continuing ed departments. What’s nice is you get real instructors, hands-on labs, and clinical experience with local healthcare partners. Plus, many of these programs qualify for financial aid, which helps keep things affordable—especially compared to private training centers that might charge more upfront. You won’t just learn caregiving basics either—some schools help you with resumes, interview prep, and even job placement. And if you’re thinking long-term, many of these programs can lead into nursing tracks like LVN or RN.
So if you want a reliable, flexible way to start or grow your healthcare career, these schools have your back—and they line up with Texas licensing rules too.
2025 Job Market Snapshot in Texas

- Population & Aging trends
Texas’s population is over 30 million in 2025, with residents aged 65+ growing fastest—reaching 15% of the population. - Projected Job Growth(Bureau of Labor Statistics & TX Workforce Commission)
- CNAs: +15% (2024–2034)
- Home Health Aides: +28% – among the fastest‐growing occupations Registered Nursing+2Red Cross+2CaregiverList+2American Caregiver Association+4careertraining.ntcc.edu+4CNA Training Houston+4
- Average Earnings
- CNA: $15–17/hr (~$31k–$35k yearly)
- HHA: $14–16/hr, with private agencies often paying slightly more
- Regional Demand
High demand in urban hubs like Houston, Dallas/Fort Worth, San Antonio, and emerging needs in rural East and West Texas.
Licensing Requirements in Texas
To become a Certified Nurse Aide (CNA):
- Complete a state-approved program of at least 120 hours (split classroom + clinical) Dreambound+1American Caregiver Association+1templecollege.edu+2CareAcademy+2Red Cross+2.
- Pass the Texas NATCEP exam, which includes a written test and hands-on skills evaluation Red Cross+1apps.hhs.texas.gov+1.
- Apply & register with the Texas HHSC Nurse Aide Registry; certification renews every three years with active status Texas Health and Human Services.
To become a Home Health Aide (HHA):
- Complete 120 hours of training, per HHSC regulations CareAcademy.
- Undergo 12 hours of annual continuing education CareAcademy.
- No separate exam; agencies typically test competency.
Choosing from Public, Private, or Vocational
Choosing between a public/private college and a vocational school depends on your goals:
- Public/Private Colleges offer in-depth training, lower per-credit cost, and possible pathways to nursing degrees.
- Vocational Schools provide quick entry into the workforce, flexible formats, but usually at higher hourly costs.
Both routes fully prepare you to meet Texas licensing requirements. With high job-growth and strong demand, now is an excellent time to train as a CNA or HHA in Texas.
Next steps:
- Choose a program (public vs vocational) that matches your timeline and budget.
- Apply and complete the training (minimum 120 hours).
- Pass the certification or competency exam.
- Begin your career—consider working in home care, long-term care, or clinical settings.
Disclaimer
This article provides general informational purposes only and does not constitute professional guidance. Program details, costs, and licensing requirements may change; verify with official Texas HHSC resources and your selected training provider.
Sources
- Texas HHSC Nurse Aide Certification details Texas Health and Human Services+1American Caregiver Association+1
- HHSC NATCEP training directory (July 2025) CNA Training Houston+7apps.hhs.texas.gov+7CaregiverList+7
- CNA/HHA programs at Collin College, Temple College, HCC Best Trade Schools+15templecollege.edu+15Collin College+15
- Vocational training providers (CNA Training Institute, Lone Star, NTCC) CaregiverList+10CNA Training Houston+10American Caregiver Association+10
- Training hours/licensing requirements Wikipedia+13CareAcademy+13Red Cross+13